Organization · Type 2 NPI

Long Trail Podiatry PLLC

Podiatric Clinic/Center · White River Junction, VT

NPI number 1902025638 Active

Practice location

2456 Christian St, Suite L2
White River Junction, VT 05001-9856

Fax (802) 359-4336

Specialties and licenses

TaxonomyCodeLicense
Podiatric Clinic/Center Primary 261QP1100XL0018421 (VT)

Podiatric Clinic/Center: Definition to come...

4 other providers at this address

About NPI 1902025638

Long Trail Podiatry PLLC's National Provider Identifier is 1902025638, issued on Apr 24, 2007. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in White River Junction, VT. The record was last updated on Jun 10, 2010.